Theresa Reynoso-Ibarra, PA-C
NPI 1063363430 · Physician Assistant · Miami Shores, FL
Theresa Reynoso-Ibarra, PA-C is a Physician Assistant provider in Miami Shores, FL (NPI 1063363430).
Provider details
- NPI number
- 1063363430
- Entity type
- Individual
- Primary specialty
- Physician AssistantPhysician Assistants & Advanced Practice Nursing Providers
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
83% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2026-02-03
- Last updated
- 2026-02-03
- Certified
- 2026-02-03
Frequently asked questions
- What is Theresa Reynoso-Ibarra's NPI number?
- Theresa Reynoso-Ibarra's National Provider Identifier (NPI) is 1063363430, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Theresa Reynoso-Ibarra's specialty?
- Theresa Reynoso-Ibarra is listed in the NPPES registry with a primary specialty of Physician Assistant (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Theresa Reynoso-Ibarra located?
- Theresa Reynoso-Ibarra's practice location on file with NPPES is 11300 Ne 2nd Ave, Miami Shores, FL 33161-6695.
- What is Theresa Reynoso-Ibarra's phone number?
- The practice phone number listed in the NPPES registry for Theresa Reynoso-Ibarra is (305) 899-3000.
- Is Theresa Reynoso-Ibarra's NPI active?
- Yes — Theresa Reynoso-Ibarra's NPI (1063363430) is active in the NPPES registry as of the last update on 2026-02-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.